Pathological Demand Avoidance (PDA)

What is Pathological Demand Avoidance?

Pathological Demand Avoidance (PDA) is a profile of Autism Spectrum Disorder (ASD) characterized by an extreme avoidance of everyday demands and an anxiety-driven need for control. It’s important to know that PDA is a neurodevelopmental condition and not a choice.

Common Traits of PDA

  • Avoidance of Demands:
    • Strong resistance to routine requests and expectations, leading to high levels of stress and anxiety.
    • Resistance to making choices or decisions
  • Use of ‘Avoidance Strategies’:
    • You may use tactics such as negotiation, or distraction to divert from tasks or situations you find overwhelming.
  • Anxiety-Driven Behaviour:
    • An anxiety about loss of control or uncertainty.
  • Social Communication Difficulties:
    • Challenges in understanding the social or emotional context of demands.
    • Withdrawing from communicating when given a demand is overwhelming

Tips for Managing PDA

  1. . Be Patient:
    • Understand that everyday demands can be extremely challenging for someone with PDA.
  2. Provide Choices:
    • Offer options and flexibility in tasks whenever possible.
  3. Use Calm Language:
    • Use non-confrontational language and avoid giving ultimatums.
  4. Recognize Triggers:
    • Learn about what situations or demands may be particularly difficult, and try to plan ahead.
  5. Offer Predictability:
    • Establish routines and provide information about upcoming events.